PM 04-02-02-a: 60-Day Extended Medical After Pregnancy Ends

A client who is in a Family Assist case when her pregnancy ends is eligible for 60-day extended medical coverage.

The 60-day period starts the day after the pregnancy ends and continues through the last day of the calendar month in which the 60-day period ends. For example, if the 60-day period ends on 09/12, medical coverage continues through 09/30.

The 60-day extended medical coverage provides the client with coverage for postpartum care. Provide 60-day extended medical coverage to a woman when she:

had a miscarriage or abortion, if she was receiving Medicaid based on her pregnancy at the time of the miscarriage or abortion; or

signed an adoption agreement, if she was receiving Medicaid based on her pregnancy at the time the child was born. (In Illinois, an adoption agreement cannot be signed until at least 72 hours after the child's birth.)